Non-urgent advice: The ICB Medicines Sub-Committee
The NENC Integrated Care System now has one governance procedure through the ICB Medicines Sub-Committee. This is supported by Northern Treatment Advisory Group (NTAG) and its subgroups. Until guidance can be reviewed by the ICB Medicines Sub-Committee and its sub-groups all guidance and agreements previously approved by the predecessor three Area Prescribing Committees (APCs) of County Durham & Tees Valley; North of Tyne, Gateshead & North Cumbria; and South Tyneside & Sunderland are still valid whilst within their review date. Clinicians referring to this guidance after any expiry date should exercise caution. ICB approved prescribing guidance and agreements will be hosted on the NTAG website moving forward and this is available publicly at https://ntag.nhs.uk/ .
Repeat Prescription Ordering Systems (RPOS)
Link to resources for practices and pharmacies to support implementation
Tees Formulary/ Preferred Drugs List
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (337 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3663 downloads )
- North East & North Cumbria ICS Formulary (225 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1633 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (765 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (1912 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (538 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (294 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (381 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (248 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2510 downloads )
Respiratory system
Please Note: Guidelines in this category have passed the recommended review dates and have EXPIRED. These guidelines will NOT be reviewed or renewed – so have been retained on this page to support practice pending publication of NENC ICS guidance.
- Adult Asthma Inhaler Guide (11248 downloads )
- COPD Treatment - CD&TV APC Guide (31150 downloads )
- Paediatric Asthma Inhaler Guide (4586 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2265 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (417 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (281 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1730 downloads )
Mental Health
CD&TV APC-approved mental health prescribing resources are available via the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website and can be accessed from the TEWV Medicines Optimisation Interactive Guide:
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (337 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (384 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (500 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (321 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (311 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6457 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (325 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1392 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (643 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (2970 downloads )
- Management of Menopause – referral to secondary care (257 downloads )
- Menopause and HRT Education Session (206 downloads )
- Tinzaparin Information Sheet (789 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2734 downloads )
- CD&TV Vitamins & Minerals Guidance (2063 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1311 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (671 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (586 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1239 downloads )
- Primary Care Management of Vitamin D Deficiency (4381 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (388 downloads )
- ST Undernutrition Pathway adults July 2021 (623 downloads )
- ST Undernutrition Pathway NH July 2021 (484 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3452 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1960 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1590 downloads )
- Primary Care Dermatology Society Website (2514 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2243 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1536 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2686 downloads )
Immunological products and vaccines
Drug monitoring
Shared care
Any shared care guidelines (SCGs) listed below which have passed their review date will remain in use until an updated NENC ICB approved version is available, with only technical updates to address any emerging safety issues.
Shared care guidelines approved for use across the North East and North Cumbria ICS can be found on the appropriate page of the NTAG website.
- Apomorphine (Neurology) Shared Care Guidelines (810 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2892 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (881 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1421 downloads )
- Dapsone [Dermatology] Shared Care Guideline (658 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2064 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4222 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2043 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (213 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (381 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (248 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3338 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1532 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (687 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3971 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2686 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (939 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (337 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3663 downloads )
- NTAG Guidance (2224 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (325 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (337 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (2970 downloads )
- Model Repeat Prescribing System (4224 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (948 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1632 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (765 downloads )
- What to do When Prescribers Join or Leaves (360 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (620 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1633 downloads )